Matthew Coulson
Quiz von , erstellt am more than 1 year ago

Epilepsy given on 14th September 2018

20
1
0
Matthew Coulson
Erstellt von Matthew Coulson vor fast 6 Jahre
Schließen

Epilepsy

Frage 1 von 29

1

Fülle die Lücke, um den Text zu vervollständigen

A seizure whereby there is rapid contraction and relaxation of muscles causing an uncontrollable shaking of the body is called a seizure.

Erklärung

Frage 2 von 29

1

affect both brain hemispheres
affect only one brain hemisphere

Klicke und ziehe, um den Text zu vervollständigen.

    Generalised seizures
    Focal seizures

Erklärung

Frage 3 von 29

1

Types of Generalised Seizure:
- Contraction of limbs followed by their extension & arching of back lasting 10-30s, followed by a shaking of the limbs.
- Constant contraction of the muscles. Person often turns blue as breathing is stopped.
- Shaking of the limbs in unison.
- Brief, shock-like jerks of a muscle or a group of muscles.

Klicke und ziehe, um den Text zu vervollständigen.

    Myoclonic
    Clonic
    Tonic
    Tonic-clonic

Erklärung

Frage 4 von 29

1

During tonic-clonic seizures, bites to which part of the tongue are more common?

Wähle eine der folgenden:

  • Bites to tip of tongue

  • Bites to side of tongue

Erklärung

Frage 5 von 29

1

If a patient presents after a fall/seizure, it is mandatory to rule out a cardiovascular cause via which investigation?

Wähle eine der folgenden:

  • ECG

  • Echocardiogram

  • Ultrasound

  • Blood Pressure Measurement

Erklärung

Frage 6 von 29

1

DVLA Rules Regarding Seizures - car:

You’ve had a one-off seizure while awake and lost consciousness:

Wähle eine der folgenden:

  • Licence suspended, can reapply after 6 months seizure free

  • Licence suspended, can reapply after 12 months seizure free

  • Licence only suspended after 2nd seizure

Erklärung

Frage 7 von 29

1

DVLA Rules Regarding Seizures - HGV:

You’ve had a one-off seizure while awake and lost consciousness:

Wähle eine der folgenden:

  • Licence suspended, can reapply after 12 months

  • Licence suspended, can reapply after 3 years

  • Licence suspended, can reapply after 5 years

Erklärung

Frage 8 von 29

1

DVLA Rules Regarding Seizures - car:

Diagnosed with epilepsy:

Wähle eine der folgenden:

  • Licence suspended, can reapply after 5 years seizure free

  • Licence suspended, can reapply after 1 year seizure free

  • Licence suspended, can reapply after 3 years seizure free

Erklärung

Frage 9 von 29

1

DVLA Rules Regarding Seizures - HGV:

Diagnosed with epilepsy:

Wähle eine der folgenden:

  • Licence suspended, can reapply after 5 years off medication & seizure free

  • Licence suspended, can reapply after 7 years off medication & seizure free

  • Licence suspended, can reapply after 10 years off medication & seizure free

Erklärung

Frage 10 von 29

1

Primary Generalised Epilepsy often presents ...

Wähle eine der folgenden:

  • In childhood/teenage years

  • In late 20s/early 30s

  • In those over 50

Erklärung

Frage 11 von 29

1

Fülle die Lücke, um den Text zu vervollständigen

The treatment of choice for primary generalised epilepsy is

Erklärung

Frage 12 von 29

1

If a primary generalised epilepsy patient is unresponsive to Sodium Valproate, which of the following second line treatments is most common?

Wähle eine der folgenden:

  • Lamotrigine

  • Clobazam

  • Gabapentin

  • Pregabalin

Erklärung

Frage 13 von 29

1

Due to the adverse side effects, sodium valproate is not recommended for focal onset epilepsy. Instead, what is the first line treatment for this condition?

Wähle eine der folgenden:

  • Carbamazepine

  • Clobazam

  • Levetiracetam

  • Oxcarbazepine

Erklärung

Frage 14 von 29

1

Sodium Valproate is teratogenic and should not be prescribed to pregnant women

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 15 von 29

1

A 17 year old girl is taken to A&E after having had a generalized seizure.
She had been out partying the night before. No past Hx of note, although her mother reported that she had been a bit clumsy and jerky in the mornings recently, e.g. dropping her hairbrush or coffee cup. Which of the following statements is correct?

Wähle eine der folgenden:

  • The history is suggestive of a secondary generalized fit. The patient
    needs urgent brain scanning.

  • The history suggests a primary generalized epilepsy, and either Sodium
    Valproate or Lamotrigine would be treatment of choice.

  • Treatment of choice for this type of epilepsy is Carbamazepine

  • Juvenile myoclonic epilepsy is associated with hippocampal sclerosis

  • This is probably just an alcohol induced seizure. No further
    investigations or treatment required

Erklärung

Frage 16 von 29

1

What is status epilepticus?

Wähle eine der folgenden:

  • Recurrent epileptic seizures without full recovery of consciousness. Continuous seizures lasting >30 minutes

  • Recurrent epileptic seizures without full recovery of consciousness. Continuous seizures lasting >60 minutes

  • A seizure that can only be halted by high loading with an acute anti-convulsant

Erklärung

Frage 17 von 29

1

Status Epilepticus is a clinical emergency. Whilst they tend to stop by themselves, to prevent further damage anticonvulsants should be given. Which of the following anticonvulsants should be given in an acute situation such as this?

Wähle eine der folgenden:

  • Phenytoin

  • Lamotrigine

  • Sodium Valproate

  • Carbamazepine

Erklärung

Frage 18 von 29

1

A patient in status epilepticus is considered an emergency case. Therefore, urgent blood tests and CT to identify the cause are required.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 19 von 29

1

What means of investigation is used to differentiate generalised from focal epilepsy?

Wähle eine der folgenden:

  • Electroencephalogram (EEG)

  • Electrocardiogram (ECG)

  • Electroneurogram (ENG)

  • Electrical Seizure Test (EST)

Erklärung

Frage 20 von 29

1

Women on anti-convulsants seeking the contraceptive pill should not use the and should instead be switched to the

Klicke und ziehe, um den Text zu vervollständigen.

    combined pill (estrogen + progesterone)
    progesterone only pill

Erklärung

Frage 21 von 29

1

The morning after pill is more effective in women taking anti-convulsants and the dose should be titred down accordingly.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 22 von 29

1

Fülle die Lücke, um den Text zu vervollständigen

Which anti-convulsant can be given to patients who are obese/have sleep problems due to its weight reducing and sedative effects?

Erklärung

Frage 23 von 29

1

Carbamazepine typically makes Primary Generalised Epilepsy worse

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 24 von 29

1

Fülle die Lücken, um den Text zu vervollständigen.

In the case of Status Epilepticus, patients are generally given benzodiazepines first line to attempt to halt the seizures. Such medications include IV , Buccal and Rectal .
If benzodiazepines fail to halt the seizures, then the anti-convulsant called should be given IV.

Erklärung

Frage 25 von 29

1

Which type of seizure typically causes the patient to experience odd smells?
e.g. every time they drive they experience a "metallic smell"

Wähle eine der folgenden:

  • Focal Seizure

  • Generalised Seizure

Erklärung

Frage 26 von 29

1

Is an absence feature focal or generalised?

Wähle eine der folgenden:

  • Focal Seizure

  • Generalised Seizure

Erklärung

Frage 27 von 29

1

Fülle die Lücke, um den Text zu vervollständigen

Following a seizure patients typically enter what is known as a state where they feel drowsy and tired for around 15 minutes before they are back to feeling normal again.

Erklärung

Frage 28 von 29

1

Which of the following anticonvulsants is known to induce alopecia?

Wähle eine der folgenden:

  • Sodium Valproate

  • Lamotrigine

  • Carbamazepine

  • Phenytoin

Erklärung

Frage 29 von 29

1

Fülle die Lücke, um den Text zu vervollständigen

Which anticonvulsant medication is known to cause Stevens-Johnson Syndrome in some rare cases?

Erklärung

Vorherige
Nächste